Ì 2
mis.ins.bene.svc.data (main)
[mnemonic]
\GGMS[ggms]
Field Name Len Dat Typ J DPM Offset/Local/VAL
mnemonic 10 FREE L ggms
active 1 YN L \GGMS[ggms]|0
max.tot.pt.resp 9 MONEY R \GGMS[ggms]|4
min.tot.pt.resp 9 MONEY R \GGMS[ggms]|3
name 35 FREE L \GGMS[ggms]|1
visit.copay 9 MONEY R \GGMS[ggms]|2
Ì 2
mis.ins.ben.svc.age.sex.index (age.sex.index)
[mnemonic,svc.group,in.out, index.sex,index.age]
\GGMS[ggms,gsh,gN]X[gAX,gAF]
Field Name Len Dat Typ J DPM Offset/Local/VAL
index.sex 1 FREE L gAX
index.age 5 FREE L gAF
index.age.sex 7 FREE L \GGMS[ggms,gsh,gN]X[gAX,gAF]|2
index.from.age 3 INT R \GGMS[ggms,gsh,gN]X[gAX,gAF]|0
index.thru.age 3 INT R \GGMS[ggms,gsh,gN]X[gAX,gAF]|1
Ì 2
mis.ins.ben.svc.age.sex (age.sex.main)
[mnemonic,svc.group,in.out, age.sex]
\GGMS[ggms,gsh,gN]A[gA]
Field Name Len Dat Typ J DPM Offset/Local/VAL
age.sex 7 FREE L gA
auth.req 1 YN L \GGMS[ggms,gsh,gN]A[gA]|4
copay 9 MONEY R \GGMS[ggms,gsh,gN]A[gA]|1
pt.resp 9 DEC R \GGMS[ggms,gsh,gN]A[gA]|2
pt.resp.dop 1 CHOICE L \GGMS[ggms,gsh,gN]A[gA]|3
svg.copay 1 CHOICE L \GGMS[ggms,gsh,gN]A[gA]|0
Ì € 2
mis.ins.ben.svc.limits (limits)
[mnemonic,svc.group,in.out,age.sex, limit.queue]
\GGMS[ggms,gsh,gN]A[gA]L[ggmsL]
Field Name Len Dat Typ J DPM Offset/Local/VAL
limit.queue 3 PINT R ggmsL
limit.period 10 FREE L MIS.SVC.PER \GGMS[ggms,gsh,gN]A[gA]L[ggmsL]|1
limit.qty 5 PINT R \GGMS[ggms,gsh,gN]A[gA]L[ggmsL]|0
Ì € 2
mis.ins.ben.svc.lim.pt.resp (limit.pt.resps)
[mnemonic,svc.group,in.out,age.sex,limit.queue, limit.resp.qty]
\GGMS[ggms,gsh,gN]A[gA]L[ggmsL]C[ggmsC]
Field Name Len Dat Typ J DPM Offset/Local/VAL
limit.resp.qty 5 PINT R ggmsC
limit.resp 9 DEC R \GGMS[ggms,gsh,gN]A[gA]L[ggmsL]C[ggmsC]|0
limit.resp.dop 1 CHOICE L \GGMS[ggms,gsh,gN]A[gA]L[ggmsL]C[ggmsC]|1
Ì € 2
mis.ins.ben.svc.period.lim.max (period.max)
[mnemonic,svc.group,in.out,age.sex, max.period]
\GGMS[ggms,gsh,gN]A[gA]X[gsi]
Field Name Len Dat Typ J DPM Offset/Local/VAL
max.period 10 FREE L MIS.SVC.PER gsi
max.oop 9 MONEY R \GGMS[ggms,gsh,gN]A[gA]X[gsi]|1
max.reimb 9 MONEY R \GGMS[ggms,gsh,gN]A[gA]X[gsi]|0
Ì € 2
mis.ins.ben.svc.specialties (specialties)
[mnemonic,svc.group,in.out,age.sex, specialty]
\GGMS[ggms,gsh,gN]A[gA]S[gsd]
Field Name Len Dat Typ J DPM Offset/Local/VAL
specialty 10 FREE L MIS.ABS.SVC gsd
spec.auth.req 1 YN L \GGMS[ggms,gsh,gN]A[gA]S[gsd]|4
spec.copay 9 MONEY R \GGMS[ggms,gsh,gN]A[gA]S[gsd]|1
spec.pt.resp 9 DEC R \GGMS[ggms,gsh,gN]A[gA]S[gsd]|2
spec.pt.resp.dop 1 CHOICE L \GGMS[ggms,gsh,gN]A[gA]S[gsd]|3
spec.svg 1 FREE L \GGMS[ggms,gsh,gN]A[gA]S[gsd]|0
Ì € 2
mis.ins.ben.svc.spec.limit (spec.limit)
[mnemonic,svc.group,in.out,age.sex,specialty, spec.lim.queue]
\GGMS[ggms,gsh,gN]A[gA]S[gsd]L[gsdL]
Field Name Len Dat Typ J DPM Offset/Local/VAL
spec.lim.queue 3 PINT R gsdL
spec.lim.period 10 FREE L MIS.SVC.PER \GGMS[ggms,gsh,gN]A[gA]S[gsd]L[gsdL]|1
spec.lim.qty 5 PINT R \GGMS[ggms,gsh,gN]A[gA]S[gsd]L[gsdL]|0
Ì € 2
mis.ins.ben.svc.spec.pt.resp (spec.limit.resps)
[mnemonic,svc.group,in.out,age.sex,specialty,spec.lim.queue, spec.lim.resp.qty]
\GGMS[ggms,gsh,gN]A[gA]S[gsd]L[gsdL]C[gsdC]
Field Name Len Dat Typ J DPM Offset/Local/VAL
spec.lim.resp.qty 5 PINT R gsdC
spec.lim.resp.dol 9 DEC R \GGMS[ggms,gsh,gN]A[gA]S[gsd]L[gsdL]C[gsdC]|0
spec.lim.resp.dop 1 CHOICE L \GGMS[ggms,gsh,gN]A[gA]S[gsd]L[gsdL]C[gsdC]|1
Ì € 2
mis.ins.ben.svc.spec.per.max (spec.period.max)
[mnemonic,svc.group,in.out,age.sex,specialty, spec.max.period]
\GGMS[ggms,gsh,gN]A[gA]S[gsd]X[gsi]
Field Name Len Dat Typ J DPM Offset/Local/VAL
spec.max.period 10 FREE L MIS.SVC.PER gsi
spec.max.oop 9 MONEY R \GGMS[ggms,gsh,gN]A[gA]S[gsd]X[gsi]|1
spec.max.reimb 9 MONEY R \GGMS[ggms,gsh,gN]A[gA]S[gsd]X[gsi]|0
Ì 2
mis.ins.ben.svc.comments (comments)
[mnemonic,svc.group, comment.queue]
\GGMS[ggms,gsh]CM["C",ggmsT]
Field Name Len Dat Typ J DPM Offset/Local/VAL
comment.queue 3 PINT R ggmsT
comment.text 79 FREE L \GGMS[ggms,gsh]CM["C",ggmsT]
|
|
| | | | | | | | |